{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:23:26Z","timestamp":1792787006589,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T00:00:00Z","timestamp":1524528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The 2nd Shanghai New One Hundred Person Project","award":["XBR2013101"],"award-info":[{"award-number":["XBR2013101"]}]},{"name":"Chinese National Twelfth Five-Year Plan for Science and Technology Support","award":["2012BAI03B00"],"award-info":[{"award-number":["2012BAI03B00"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n \n We evaluated how effectively the waist\u2010to\u2010height ratio (\n WH<\/jats:styled-content>\n tR) identified cardiometabolic risk (\n CMR<\/jats:styled-content>\n ) in children and adolescents, compared with the tri\u2010ponderal mass index, percentage of body fat and other obesity indexes.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Eligible subjects were recruited from three metropolitan regions of China from May 2013 to June 2014. Subjects with at least three of the following abnormalities \u2013 hypertension, dyslipidemia, elevated fasting blood glucose and central obesity \u2013 were defined as\n CMR<\/jats:styled-content>\n 1 and children with at least two were defined as\n CMR<\/jats:styled-content>\n 2. The area under the curve (\n AUC<\/jats:styled-content>\n ) of the receiver operating characteristic curve was used to compare how effectively obesity indexes predicted\n CMR<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We recruited 3556 subjects aged 7\u201318\u00a0years. All five obesity indexes showed good, comparable performances in identifying\n CMR<\/jats:styled-content>\n and the\n AUC<\/jats:styled-content>\n s ranged from 0.89 to 0.90 for\n CMR<\/jats:styled-content>\n 1 and 0.83 to 0.85 for\n CMR<\/jats:styled-content>\n 2. The cut\u2010off of 0.467 for\n WH<\/jats:styled-content>\n tR achieved a sensitivity of 0.91 and specificity of 0.80 for predicting\n CMR<\/jats:styled-content>\n 1, with the best cut\u2010offs being 0.463 for boys and 0.469 for girls.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The\n WH<\/jats:styled-content>\n tR was a superior and practical screening tool for detecting\n CMR<\/jats:styled-content>\n in this paediatric population, as it provided comparable accuracy to other methods and just required a simple calculation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/apa.14323","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T02:41:08Z","timestamp":1521772868000},"page":"1629-1634","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Waist\u2010to\u2010height ratio remains an accurate and practical way of identifying cardiometabolic risks in children and adolescents"],"prefix":"10.1111","volume":"107","author":[{"given":"Yuan","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Clinical Epidemiology Children's Hospital of Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010lan","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Children's Hospital of Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Children's Hospital of Chongqing Medical University Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Child Healthcare Chengdu Women& Children's Central Hospital Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gao\u2010hui","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Children's Hospital of Chongqing Medical University Chongqing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Child Healthcare Chengdu Women& Children's Central Hospital Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Children's Hospital of Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7633-7449","authenticated-orcid":false,"given":"Wei\u2010li","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Children's Hospital of Fudan University Shanghai 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